Large language models (LLMs) have demonstrated impressive capabilities in natural language understanding and generation, but the quality bar for medical and clinical applications is high. Today, attempts to assess models' clinical knowledge typically rely on automated evaluations on limited benchmarks. There is no standard to evaluate model predictions and reasoning across a breadth of tasks. To address this, we present MultiMedQA, a benchmark combining six existing open question answering datasets spanning professional medical exams, research, and consumer queries; and HealthSearchQA, a new free-response dataset of medical questions searched online. We propose a framework for human evaluation of model answers along multiple axes including factuality, precision, possible harm, and bias. In addition, we evaluate PaLM (a 540-billion parameter LLM) and its instruction-tuned variant, Flan-PaLM, on MultiMedQA. Using a combination of prompting strategies, Flan-PaLM achieves state-of-the-art accuracy on every MultiMedQA multiple-choice dataset (MedQA, MedMCQA, PubMedQA, MMLU clinical topics), including 67.6% accuracy on MedQA (US Medical License Exam questions), surpassing prior state-of-the-art by over 17%. However, human evaluation reveals key gaps in Flan-PaLM responses. To resolve this we introduce instruction prompt tuning, a parameter-efficient approach for aligning LLMs to new domains using a few exemplars. The resulting model, Med-PaLM, performs encouragingly, but remains inferior to clinicians. We show that comprehension, recall of knowledge, and medical reasoning improve with model scale and instruction prompt tuning, suggesting the potential utility of LLMs in medicine. Our human evaluations reveal important limitations of today's models, reinforcing the importance of both evaluation frameworks and method development in creating safe, helpful LLM models for clinical applications.

协同的药物组合为增强治疗功效和减少不良反应提供了巨大的潜力。然而，由于未知的因果疾病信号通路，有效和协同的药物组合预测仍然是一个悬而未决的问题。尽管已经提出了各种深度学习（AI）模型来定量预测药物组合的协同作用。现有深度学习方法的主要局限性是它们本质上是不可解释的，这使得AI模型的结论是对人类专家的非透明度的结论，因此限制了模型结论的鲁棒性和这些模型在现实世界中的实施能力人类医疗保健。在本文中，我们开发了一个可解释的图神经网络（GNN），该神经网络（GNN）揭示了通过挖掘非常重要的亚分子网络来揭示协同（MOS）的基本基本治疗靶标和机制。可解释的GNN预测模型的关键点是一个新颖的图池层，基于自我注意的节点和边缘池（此后为SANEPOOL），可以根据节点特征和图表计算节点和边缘的注意力评分（重要性）拓扑。因此，提出的GNN模型提供了一种系统的方法来预测和解释基于检测到的关键亚分子网络的药物组合协同作用。我们评估了来自NCI Almanac药物组合筛查数据的46个核心癌症信号通路和药物组合的基因制造的分子网络。实验结果表明，1）Sanepool可以在其他流行的图神经网络中实现当前的最新性能； 2）由SANEPOOOL检测到的亚分子网络是可自我解释的，并且可以鉴定协同的药物组合。

Normative modelling is an emerging method for understanding the underlying heterogeneity within brain disorders like Alzheimer Disease (AD) by quantifying how each patient deviates from the expected normative pattern that has been learned from a healthy control distribution. Since AD is a multifactorial disease with more than one biological pathways, multimodal magnetic resonance imaging (MRI) neuroimaging data can provide complementary information about the disease heterogeneity. However, existing deep learning based normative models on multimodal MRI data use unimodal autoencoders with a single encoder and decoder that may fail to capture the relationship between brain measurements extracted from different MRI modalities. In this work, we propose multi-modal variational autoencoder (mmVAE) based normative modelling framework that can capture the joint distribution between different modalities to identify abnormal brain structural patterns in AD. Our multi-modal framework takes as input Freesurfer processed brain region volumes from T1-weighted (cortical and subcortical) and T2-weighed (hippocampal) scans of cognitively normal participants to learn the morphological characteristics of the healthy brain. The estimated normative model is then applied on Alzheimer Disease (AD) patients to quantify the deviation in brain volumes and identify the abnormal brain structural patterns due to the effect of the different AD stages. Our experimental results show that modeling joint distribution between the multiple MRI modalities generates deviation maps that are more sensitive to disease staging within AD, have a better correlation with patient cognition and result in higher number of brain regions with statistically significant deviations compared to a unimodal baseline model with all modalities concatenated as a single input.

Most Graph Neural Networks follow the message-passing paradigm, assuming the observed structure depicts the ground-truth node relationships. However, this fundamental assumption cannot always be satisfied, as real-world graphs are always incomplete, noisy, or redundant. How to reveal the inherent graph structure in a unified way remains under-explored. We proposed PRI-GSL, a Graph Structure Learning framework guided by the Principle of Relevant Information, providing a simple and unified framework for identifying the self-organization and revealing the hidden structure. PRI-GSL learns a structure that contains the most relevant yet least redundant information quantified by von Neumann entropy and Quantum Jensen-Shannon divergence. PRI-GSL incorporates the evolution of quantum continuous walk with graph wavelets to encode node structural roles, showing in which way the nodes interplay and self-organize with the graph structure. Extensive experiments demonstrate the superior effectiveness and robustness of PRI-GSL.

High-utility sequential pattern mining (HUSPM) has emerged as an important topic due to its wide application and considerable popularity. However, due to the combinatorial explosion of the search space when the HUSPM problem encounters a low utility threshold or large-scale data, it may be time-consuming and memory-costly to address the HUSPM problem. Several algorithms have been proposed for addressing this problem, but they still cost a lot in terms of running time and memory usage. In this paper, to further solve this problem efficiently, we design a compact structure called sequence projection (seqPro) and propose an efficient algorithm, namely discovering high-utility sequential patterns with the seqPro structure (HUSP-SP). HUSP-SP utilizes the compact seq-array to store the necessary information in a sequence database. The seqPro structure is designed to efficiently calculate candidate patterns' utilities and upper bound values. Furthermore, a new upper bound on utility, namely tighter reduced sequence utility (TRSU) and two pruning strategies in search space, are utilized to improve the mining performance of HUSP-SP. Experimental results on both synthetic and real-life datasets show that HUSP-SP can significantly outperform the state-of-the-art algorithms in terms of running time, memory usage, search space pruning efficiency, and scalability.

The xView2 competition and xBD dataset spurred significant advancements in overhead building damage detection, but the competition's pixel level scoring can lead to reduced solution performance in areas with tight clusters of buildings or uninformative context. We seek to advance automatic building damage assessment for disaster relief by proposing an auxiliary challenge to the original xView2 competition. This new challenge involves a new dataset and metrics indicating solution performance when damage is more local and limited than in xBD. Our challenge measures a network's ability to identify individual buildings and their damage level without excessive reliance on the buildings' surroundings. Methods that succeed on this challenge will provide more fine-grained, precise damage information than original xView2 solutions. The best-performing xView2 networks' performances dropped noticeably in our new limited/local damage detection task. The common causes of failure observed are that (1) building objects and their classifications are not separated well, and (2) when they are, the classification is strongly biased by surrounding buildings and other damage context. Thus, we release our augmented version of the dataset with additional object-level scoring metrics https://gitlab.kitware.com/dennis.melamed/xfbd to test independence and separability of building objects, alongside the pixel-level performance metrics of the original competition. We also experiment with new baseline models which improve independence and separability of building damage predictions. Our results indicate that building damage detection is not a fully-solved problem, and we invite others to use and build on our dataset augmentations and metrics.

Neural image classifiers are known to undergo severe performance degradation when exposed to input that exhibits covariate-shift with respect to the training distribution. Successful hand-crafted augmentation pipelines aim at either approximating the expected test domain conditions or to perturb the features that are specific to the training environment. The development of effective pipelines is typically cumbersome, and produce transformations whose impact on the classifier performance are hard to understand and control. In this paper, we show that recent Text-to-Image (T2I) generators' ability to simulate image interventions via natural-language prompts can be leveraged to train more robust models, offering a more interpretable and controllable alternative to traditional augmentation methods. We find that a variety of prompting mechanisms are effective for producing synthetic training data sufficient to achieve state-of-the-art performance in widely-adopted domain-generalization benchmarks and reduce classifiers' dependency on spurious features. Our work suggests that further progress in T2I generation and a tighter integration with other research fields may represent a significant step towards the development of more robust machine learning systems.

The discovery of utility-driven patterns is a useful and difficult research topic. It can extract significant and interesting information from specific and varied databases, increasing the value of the services provided. In practice, the measure of utility is often used to demonstrate the importance, profit, or risk of an object or a pattern. In the database, although utility is a flexible criterion for each pattern, it is a more absolute criterion due to the neglect of utility sharing. This leads to the derived patterns only exploring partial and local knowledge from a database. Utility occupancy is a recently proposed model that considers the problem of mining with high utility but low occupancy. However, existing studies are concentrated on itemsets that do not reveal the temporal relationship of object occurrences. Therefore, this paper towards sequence utility maximization. We first define utility occupancy on sequence data and raise the problem of High Utility-Occupancy Sequential Pattern Mining (HUOSPM). Three dimensions, including frequency, utility, and occupancy, are comprehensively evaluated in HUOSPM. An algorithm called Sequence Utility Maximization with Utility occupancy measure (SUMU) is proposed. Furthermore, two data structures for storing related information about a pattern, Utility-Occupancy-List-Chain (UOL-Chain) and Utility-Occupancy-Table (UO-Table) with six associated upper bounds, are designed to improve efficiency. Empirical experiments are carried out to evaluate the novel algorithm's efficiency and effectiveness. The influence of different upper bounds and pruning strategies is analyzed and discussed. The comprehensive results suggest that the work of our algorithm is intelligent and effective.

Recent work has reported that AI classifiers trained on audio recordings can accurately predict severe acute respiratory syndrome coronavirus 2 (SARSCoV2) infection status. Here, we undertake a large scale study of audio-based deep learning classifiers, as part of the UK governments pandemic response. We collect and analyse a dataset of audio recordings from 67,842 individuals with linked metadata, including reverse transcription polymerase chain reaction (PCR) test outcomes, of whom 23,514 tested positive for SARS CoV 2. Subjects were recruited via the UK governments National Health Service Test-and-Trace programme and the REal-time Assessment of Community Transmission (REACT) randomised surveillance survey. In an unadjusted analysis of our dataset AI classifiers predict SARS-CoV-2 infection status with high accuracy (Receiver Operating Characteristic Area Under the Curve (ROCAUC) 0.846 [0.838, 0.854]) consistent with the findings of previous studies. However, after matching on measured confounders, such as age, gender, and self reported symptoms, our classifiers performance is much weaker (ROC-AUC 0.619 [0.594, 0.644]). Upon quantifying the utility of audio based classifiers in practical settings, we find them to be outperformed by simple predictive scores based on user reported symptoms.

Since early in the coronavirus disease 2019 (COVID-19) pandemic, there has been interest in using artificial intelligence methods to predict COVID-19 infection status based on vocal audio signals, for example cough recordings. However, existing studies have limitations in terms of data collection and of the assessment of the performances of the proposed predictive models. This paper rigorously assesses state-of-the-art machine learning techniques used to predict COVID-19 infection status based on vocal audio signals, using a dataset collected by the UK Health Security Agency. This dataset includes acoustic recordings and extensive study participant meta-data. We provide guidelines on testing the performance of methods to classify COVID-19 infection status based on acoustic features and we discuss how these can be extended more generally to the development and assessment of predictive methods based on public health datasets.